Dr. Alex Karev
Dr. Meredith Grey
Dr. Lexie Grey
Dr. Mark Sloan
Dr. Owen Hunt
Dr. Calliope "Callie" Torres
Dr. Reed Adamson
Dr. Jackson Avery
Callie (wakes up): Oh, I'm awake. I'm-- I'm totally awake. I'm... There's... hats! (puts a hat on) And gifts! And... and donuts! And lingerie. (blows into a horn, and it makes a quiet sound) Really? (laughs)
Arizona: I love you.
Callie: You do?
Arizona: I do.
Callie: I love you, too.
Derek: The Chief still won't talk to me.
Meredith: He will.
Derek: Since when did you become an optimist?
Meredith (laughs): This is married, happy me.
Lexie: Go ahead and gloat, surprise parties never end in any good.
Mark: Well, I think this party speaks for itself.
Lexie: I don't get it. You know, the best birthday of my life was a surprise party that my parents threw. I- I loved it. So much.
Mark: How old were 'ya at this party?
Mark: Mmm. Like I said. Speaks for itself.
Callie: Okay, in retrospect, I realize now that suprise parties are hostile. And this was a bad idea. Please, stop crying. I'm sorry. I'm sorry about the party.
Arizona (crying): Wallace died. And he's supposed to be turning 11 today and instead, he's lying in a morgue.
Cristina (scoffs): My luck will run out. It has nothing to do with luck. He's just being an ass, I rocked that embolus. (Mer smiles at her) What?
Meredith: He cares about you.
Meredith: So maybe he's a little bit right. I get it. I mean, I'm dying to get out of this bed and cut. But you did an unauthorized procedure in an OR. You're an amazing surgeon, but if anything had gone wrong, that would of been your career. I mean, he cares about your career. He's in love with you.
Cristina: I hate married, happy you.
Meredith (laughs): Go to work. And don't cut anybody open without permission.
Richard: I'll let Wallace's parents know that you did everything you could.
Charles: Wait, Dr. Robbins, don't we have to tell the parents, let them know that he didn't make it?
Charles: What do you mean no?
Arizona: I mean no. I will not be speaking to Wallace's parents. Mr. Jennings and the Chief will be taking care of that formality because as far as they are concerned, and as far as the Andersons will be concerned, I just killed their son. I'm a liablity. Because if they were to ask me, the truth is, I would tell them that I did just kill their son. And they should sue. And I am responsible. But that's not in the best interests of the hospital. Am I close?
Jennings: Yeah, I think we're on the same page.
Richard: What the hell happened to the Anderson boy?
Arizona: He's in septic shock. His body was too unstable to handle the surgery, which is what I said in the first place.
Richard: Well, maybe I can help.
Arizona: No, no you can't. Because as long as you're standing there breathing over my shoulder, I feel like I'm operating on a stack of dollar bills, 25 million dollar bills, and what I need to be invested in right now is this kid, so please, get the hell out of my OR!
Owen: I have every right to be mad at you, Cristina. You'd never pull that stunt with another attending.
Cristina: I seem to recall Callie was there, she still didn't stop me.
Callie: Okay, guys, not now.
Owen: You took advantage of me and you took advantage of our relationship.
Cristina: Oh, please, the kid was dying.
Arizona: Oh, whoa, whoa. What kid? What happened?
Owen: Oh, so you didn't hear?
Arizona: No. No, I didn't.
Owen: Cristina, she performed an unauthorized and unnecessary thoracotomy against my orders.
Arizona: She what?
Cristina: I saved the patient's life.
Arizona: Okay, so you were there and you didn't tell me?
Callie: I was going to, but you were all, 'Tell me I'm great'. So...
Arizona: Okay, so it's my fault that Yang went rogue on a child?
Cristina: Okay, it wasn't rogue. It was brillant.
Owen: It wasn't! You know? I- I'm done. You got lucky today, Cristina, and you may think you can get away with whatever you want, but I'm telling you one of these days that luck is gonna run out. (Owen leaves, Arizona's pager beeps)
Callie: Okay, so you're leaving, too?
Arizona: Yes, because I have a patient. (slams door)
Arizona: I left two messages.
Callie (sighs): I'm sorry, I was in surgery, there were compli--
Arizona: I don't care. I don't care, alright? I operated on Wallace tonight when I knew better. I keep retracing every step, every suture, and I keep going over it and over it.
Callie: He didn't make it?
Arizona: He did. He's in recovery. That's not the point. What I needed from you tonight was a little support, for once, and you weren't there.
Callie: Okay, you're scared. So, you're picking a fight. You get that, yeah?
Arizona: Yeah. Yeah, fine. Whatever. But I've helped you through crisis after crisis, and for once I thought that I could come here tonight and get something.
(Alex is standing shirtless, holding the preemie baby)
Derek: Karev, what are you doing?
Bailey: Uh, he's saving a baby's life, that's what.
Reed: Dr. Bailey, I... (looks up) Oh. No shirt. He's wearing no shirt.
Derek: Have you started to lactate yet?
Alex: Bailey made me.
Mark: Is this the room for the calender shoot? I was told it was downstairs. (Derek laughs)
Bailey: Alright, that's enough. Everybody out. Let Karev do what he's doing in private.
Mark: What is he doing, exactly?
Hillary's Mom: Mushrooms?!
Hillary: Oh, come on. Can everybody please chill out?
Hillary's Mom: What in God's name were you thinking?
Hillary's Dad: I can't believe... You're a disappointment, young lady. A big, big disappointment.
Hillary: Dad, please. Okay, the last thing that I am is a disappointment. I get straight A's. I'm on the honor roll. I run the student council. I basically am the school paper. I tutor kids with reading problems. Okay? I am every parent's dream come true. Including yours. I was exploring the bounds of my conciousness with help of a mushroom. I made a calculated risk by going on the roof. Falling off, well, that was a low-probabllity event. Even low-probablity events occasionally occur, and this one did. So, yeah, you're bummed that I miscalculated 'cause it reminds you of your own fallibilty. I'm bummed, too. Let's just leave it at that.
Callie: Okay, she's downplaying it, right? I'm her girlfriend. I have to do something for her birthday, right?
Lexie: Of course you do. Oh, oh, a suprise party!
Mark: Whoa, whoa. Bad idea. Surprise parties are hostile. They're dark. People jump out and scream at you. They never come to any good.
Arizona: I always knew that Wallace's parents were wealthy, but not 25 million dollars wealthy. I mean, that's libaries named after you kinda money, save babies in Africa, and has dinner at the White House regularly type money.
Mark: People don't gimme that kinda money. You have an unfair advantage, you work with children.
Callie: You know, that money is gonna make such a difference for so many patients. It's really amazing.
Mark: Maybe I should start doing more cleft palate kids. Everyone's a sucker for those.
Arizona: 25 million dollars is pretty cool, right?
Lexie: Best birthday gift, ever.
Callie (confused): Birthday gift?
Lexie: Yeah, 'cause the money's a gift. I-- I mean, technically it's for the hospital, not Arizona, but since your birthday's on Friday...
Callie: Um, how does Little Grey know about your birthday and I don't?
Arizona: Birthdays are just days like any other days. I don't like them, don't celebrate them, no big deal. 25 million dollars? That's a big deal.
Arizona: Okay, I know this is the first time on a PEDS rotation with me for some of you. (glares at Cristina) Not for others. But I wanted you to understand that I run my PEDS unit a little differently than you may be used to. This is not general surgery on a miniature scale. These are the tiny humans. These are children. They believe in magic. They play pretend. There is fairy dust in their IV bags. They hope, and they cross their fingers, and they make wishes, and that makes them more resilient than adults. They recover faster, survive worse. They believe. In PEDS, we have miracles and magic. In PEDS, anything is possible.
Owen: When we see Cristina, she's gonna be mad. Mad at me, for not paging her last night, possibly mad at you for not waking her up either. Now, I'm handling this. Do not engage her, do not provoke her. Simply ignore, alright?
Callie: Oh, that's your plan? Ignore the scalpel hungry animal?
Owen: Yep, until I come with something better.
Meredith (opening voiceover): It's impossible to describe the panic that comes over you when you're a surgeon and your pager goes off in the middle of the night. Your heart starts to race. Your mind freezes. Your fingers go numb. You're invested. There's someone's mom, someone's dad, someone's kid. And now it's on you because that someone's life is in your hands. Surgeons, we're always investing in our patients. But when your patient's a child, you're not just invested, you're responsible. Responsible for whether or not that child survives, has a future. And that's enough to terrify anyone.
Callie: Hey, are you okay?
Arizona: I need for you to tell me that I'm great.
Callie: You're great.
Arizona: I mean really tell me. Because I'm about to go in on a surgery I'm not sure I should be going in on, and I can't think like that, right? I can't go into the OR feeling like... this. So I need you to tell me I'm great. Make me... Make me hear it.
Callie: You are great. You... are... great.
Arizona: Thank you.
Bailey: The way you're holding the baby, it's called a Kangaroo hold. There's been cases where the Kangaroo has helped babies thrive. But Karev, look, look at the number.
Alex: Huh. Heart rate's going up.
Bailey: Yeah, it is. And her temperature's normal. Karev, you may have just kick-started this baby's entire system.
Alex: Just by holding her.
Bailey: Take off your shirt.
Alex: What? No. Take off your shirt!
Bailey: No, no. Just-- the kangaroo hold, it's most effective when there's skin-on-skin contact. It's usually the mom, but, you know, you're gonna have to do... I'm not kidding! Take off your shirt!
Alex: I can't leave, okay?
Reed: Wow. Are you really so messed up that you can't let one person be nice to you, ever?
Alex: I can't go. I can't go home. I can't get Izzie to call me back. She's gone. Could be dead for all I know. She left me with a 200,000 dollar medicial bill and I can't do anything about it. About any of it. But I can sit here, and I can hold this baby. That I can do.
Reed: Then I'll sit here for a little while.
Meredith (closing voiceover): They say the bigger your investment, the bigger your return. But you have to be willing to take a chance. You have to understand... you might lose it all. But if you take that chance, if you invest wisely, the payoff might just surprise you.
International Episode Titles:
Czech Republic: Operace k narozeninám (Surgery for Birthday)
Although the main credits appear at the sides of the screen, like they usually do, the one that says "An ABC Studios Production" appears at the middle of the screen, something we haven't seen since the early season 1 episodes.
Original International Air Dates:
Latin America: January 11, 2010 on Sony Entertainment Television (a.k.a. Canal Sony)
Finland: January 13, 2010 on Nelonen
Australia: March 2, 2010 on Channel 7
The Netherlands: March 22, 2010 on Net5
Germany: May 12, 2010 on ProSieben
Norway: September 28, 2010 on TV2
Czech Republic: August 8, 2011 on Prima LOVE
Although credited, Katherine Heigl ("Izzie") didn't appear in this episode.
Music Featured In This Episode:
1. Gold Guns Girls by Metric
2. Her Rotating Head by Bachelorette
3. Breathe by The Cinematic Orchestra
4. High Green Grass by Sébastien Schuller
5. North By North by Faded Paper Figures
6. Before It Breaks by Brandi Carlile
7. Everything All at Once by Correatown
User Score: 9688
User Score: 4030
User Score: 737
User Score: 717
User Score: 659
User Score: 497
User Score: 399
User Score: 319
User Score: 315
User Score: 295
User Score: 285
User Score: 207
User Score: 197
User Score: 188
User Score: 149
User Score: 147
User Score: 138
User Score: 131
User Score: 128
User Score: 118